![]() I have not noticed any change in how I feel. I was taking 360mg Diltiazem qday, now I am taking 120mg TID. When it starts I feel like the wind has been taken from my lungs, I get lightheaded and dizzy. I have never experienced symptoms from it and actually would not have known this was going on unless I was told. He looked back in my history and said that this had shown up in previous EKG's. My EP said that the EKG showed junctional escape rhythm. ![]() At my last appt I expressed my concerns about how I was feeling. I am not a candidate for betablockers due to being an asthmatic. I am extremely tired all the time, I feel my heart racing at times with the usual pac's and pvc's which I've had forever and have leared to live with. 2 days later I was back in the ER with tachycardia(rate was 130 with 2:1 conduction) I have just not felt well since the procedure. Last month I had another ablation procedure and my EP felt that it was successful. I took Flecainaide for about 2 weeks and could not tolerate the side effects. In Oct I went through an EP study and had a flutter line ablation and failed attempt to ablate for AVNRT. IV meds failed to convert and I had to be cardioverted. View all chapters in Cardiac Arrhythmias.Back in Sept I was in the ER in Afib with rapid ventricular response. Sinus Node Dysfunction & Sick Sinus Syndrome In all other situations the underlying condition should be targeted and, if necessary, bradycardia should be treated ( treatment alternatives are discussed in the article on sinus node dysfunction). Sinus arrest/pause due to increased vagal tone does not necessitate treatment but it might be wise to observe the patient for 24 hours (including ECG monitoring).
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